Active NPI
Hampton William Young, RN
- Continuing Education/Staff Development Registered Nurse
- Roslyn, NY
National Provider Identifier
1356079040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- 409967
- Practice address
- 1441 Old Northern Blvd
Roslyn, NY 11576-2256 - Phone
- (516) 632-1114
- Fax
- (516) 632-1164
- NPI assigned
- Aug 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 409967 | NY | Primary |
Addresses
Primary practice location
1441 Old Northern Blvd
Roslyn, NY 11576-2256
Mailing address
330 Beach 39TH St
Far Rockaway, NY 11691-1410
Phone (917) 803-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 409967 | NY | MD | Continuing Education/Staff Development Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1356079040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BEACH 39TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911410",
"telephone_number": "917-803-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 OLD NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762256",
"telephone_number": "516-632-1114",
"fax_number": "516-632-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "HAMPTON",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "NY",
"license": "409967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.